Active NPI
Stefen Ray Osborn, PHARM.D
- Pharmacist
- Layton, UT
National Provider Identifier
1023366713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6888375-1701
- Practice address
- 1171 W 2000 N
Layton, UT 84041-1638 - Phone
- (801) 599-9161
- NPI assigned
- Aug 28, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6888375-1701 | UT | Primary |
Addresses
Primary practice location
1171 W 2000 N
Layton, UT 84041-1638
Mailing address
82N 100E
PO Box 642
Coalville, UT 84017
Phone (801) 599-9161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6888375-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1023366713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82N 100E",
"address_2": "PO BOX 642",
"city": "COALVILLE",
"state": "UT",
"postal_code": "84017",
"telephone_number": "801-599-9161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1171 W 2000 N",
"city": "LAYTON",
"state": "UT",
"postal_code": "840411638",
"telephone_number": "801-599-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORN",
"first_name": "STEFEN",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "6888375-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.